RPD Flashcards
What does RPI stand for?
Rest on mesial surface, proximal plate on distal surface, gingivally approaching I-bar
What is the mechanism of action on an RPI?
Rest mesially acts as axis of rotation
As the proximal plate and I-bar rotates downwards and mesially (respectively) around the axis of rotation during occlusal load
The I-bar and proximal plate disengage from the tooth/undercuts
Thus, potential traumatic torque is avoided
What do you need to check at the try-in stage?
Midline
Occlusion
Extension
Lip support
Canine Line
Incisal level
Buccal corridors
Position of teeth/colour and mould of teeth
What is the method of producing a new denture of the same specifications as old one?
Replica technique
What is direct retention?
How is this achieved?
Resistance to vertical displacement
Given by clasps
What is support?
How is this achieved?
Resistance of denture to occlusally directed loads
Given by rest seats
What is the aetiology of denture stomatitis?
Poor denture hygiene
Dentures worn at night
Immunocompromised
How is denture stomatitis managed?
Denture hygiene instruction
Tissue condition
Chlorhexidine mouthwash
Anti-fungal agents
New dentures when health is restored
What problem can occur with a complete upper denture occluding with a partial lower?
Why does this occur?
Combination syndrome, resulting in a flabby ridge
Why?
–Forces directed at anterior and upper denture displaces, results in excessive and rapid bone loss of maxillary anterior alveolar ridge. This is replaced by excess fibrous tissue
What is Kennedy Class 1?
Bilateral free end saddle
What is Kennedy Class 2?
Unilateral free end saddle
What is Kennedy Class 3?
Unilateral bounded saddle
What is Kennedy Class 4?
Anterior bounded saddles only
What is Craddock Class 1?
Tooth borne support only
What is Craddock Class 2?
Mucosa borne support only